Hygienic Cleansing Pad
NDC Package 49035-751-21

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Hygienic Cleansing Pad is when practical, cleanse the affected area with mild soap and warm water and rinse thoroughly.Gently dry by patting or blotting with toilet tissue or soft cloth before each application of this product. Marketed by Wal-mart Stores Inc, this product is identified by NDC 49035-751 and is authorized under FDA application part346.

Identification & Billing

NDC Package Code
49035-751-21
Package Description
100 APPLICATOR in 1 JAR / 2.5 mL in 1 APPLICATOR
Product Code
49035-751
11-Digit Billing Format
49035075121
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Hygienic Cleansing Pad
Dosage Form
-
Usage Information
When practical, cleanse the affected area with mild soap and warm water and rinse thoroughly.Gently dry by patting or blotting with toilet tissue or soft cloth before each application of this product. Gently apply to the affected area by patting and then discard. Apply to the affected area up to 6 times daily or after each bowel movement. Children under 12 years of age: consult a doctor.

Regulatory & Marketing

Labeler Name
Wal-mart Stores Inc
FDA Application #
part346
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
03-01-2007
Listing Expiration
12-31-2017
Exclude Flag
I
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 49035-751-21 identifies a specific commercial package of 100 applicator in 1 jar / 2.5 ml in 1 applicator of Hygienic Cleansing Pad, labeled by Wal-mart Stores Inc. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Wal-mart Stores Inc on March 01, 2007. The current certification is valid through December 31, 2017.

How is this Wal-mart Stores Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 49035075121. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
49035-751-21
11-Digit CMS (5-4-2)
49035-0751-21

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.